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7 results for Benefits Verification Specialist in Manhattan Beach, CA

Medical Billing Specialist

Van Nuys, CA
onsite
Temporary / Contract
25 - 30 USD / Hourly
A leading hospital in the Valley is seeking a detail-oriented Medical Billing Specialist to join its revenue cycle team. This role is responsible for ensuring accurate and timely claim submission, follow-up, and resolution of managed care billing issues. The ideal candidate will have strong knowledge of medical billing processes, payer requirements, and accounts receivable follow-up within a hospital environment. Key Responsibilities:<ul><li>Demonstrate the ability to determine the accuracy of pertinent medical, coding, eligibility, authorization, demographic, and financial information, and make any required corrections.</li><li>Determine payer documentation requirements for payment and ensure all necessary supporting documentation is available for claim submission. </li><li>Transmit and submit clean claims to payers within three working days of receipt, while maintaining a productivity standard of 200 claims per day. </li><li>Update the computer system to reflect claim submission and transmission activity. </li><li>Review payer correspondence and provide corrections and/or additional documentation within three working days. </li><li>Review payment data for suspensions, underpayments, and denials, and submit appropriate responses, including corrected insurance forms and rebills as needed. </li><li>Review bi-monthly accounts receivable reports to identify claims that have been submitted but remain unresolved or unacknowledged, as well as claims that have not yet been submitted, and take appropriate action to ensure timely resolution. </li><li>Prepare adjustments needed to ensure account balances reflect payable amounts and forward them to management for review and authorization. </li></ul>
2026-07-28T00:00:00Z

Quality Assurance Specialist

Irvine, CA
onsite
Temporary / Contract
28.5 - 33 USD / Hourly
We are looking for a Quality Assurance Specialist to support leave administration for employees in Irvine, California. This Long-term Contract position will oversee end-to-end leave cases, coordinate with internal partners, and help ensure a consistent, compliant experience for employees throughout their time away from work. The ideal candidate brings strong attention to detail, sound judgment, and the ability to communicate clearly and compassionately in sensitive situations. Responsibilities: • Oversee the administration of employee leave programs, including protected, disability-related, parental, and personal time away from work. • Coordinate with human resources, payroll, and benefits stakeholders to help maintain accurate compensation handling, benefits continuation, and return-to-work arrangements. • Track leave activity with precise documentation and maintain records that support compliance with applicable federal, state, and local regulations. • Guide employees through each stage of the leave process by explaining requirements, timelines, and next steps in a clear and supportive manner. • Review medical, administrative, and case-related documentation to ensure leave determinations and follow-up actions are handled appropriately. • Monitor case progress and follow up on outstanding items to support timely resolution and smooth transitions back to active work status. • Identify process improvement opportunities that strengthen operational efficiency and improve the overall employee leave experience. • Support quality assurance efforts by reviewing workflows, validating case accuracy, and helping maintain high service standards across leave administration activities.
2026-08-12T00:00:00Z

Insurance Verifier

Encino, CA
onsite
Temporary to Hire
24 - 27 USD / Hourly
A healthcare company is looking for an Insurance Verifier to support pre-service financial clearance for surgical patients in California. This Insurance Verifier focuses on confirming coverage details, identifying authorization needs, and helping patients understand their expected financial responsibility before scheduled procedures. The Insurance Verifier will work closely with clinical, scheduling, and revenue cycle teams to reduce avoidable claim issues and keep cases on track for timely treatment. Key Responsibilities:• Conduct pre-procedure insurance reviews to confirm active coverage and validate plan benefits for scheduled surgical services.• Assess deductibles, copayments, coinsurance amounts, out-of-pocket limits, and any exclusions that may affect patient liability.• Determine when prior authorization or referral approval is required and record all supporting details for follow-up by the appropriate teams.• Examine scheduled services and provider documentation to ensure payer rules and coverage criteria are satisfied before the surgery date.• Prepare clear cost estimates for patients and explain expected financial obligations with professionalism and empathy.• Enter complete and accurate verification findings into the electronic medical record and related practice management tools.• Partner with scheduling, admissions, clinical, and billing personnel to resolve benefit discrepancies or missing information ahead of treatment.• Escalate potential coverage concerns quickly so patients and care teams can address issues before delays or cancellations occur.• Maintain thorough records of payer communications, verification activity, and authorization status while following applicable compliance standards. Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-08-11T00:00:00Z

Medical Credentialing Specialist

Mission Hills, CA
onsite
Temporary / Contract
32 - 45 USD / Hourly
A healthcare company is seeking an experienced Medical Credentialing Specialist to join our Medical Staff Services department. This Medical Credentialing Specialist is responsible for managing the full credentialing lifecycle for physicians and advanced practice providers, with a primary focus on initial appointments, reappointments, and clinical privileges. The Medical Credentialing Specialist is detail-oriented, highly organized, and experienced in navigating the complex regulatory requirements governing hospital credentialing. This position requires prior experience using MD-Staff software to support credentialing, privileging, and provider data management. Key Responsibilites:<ul><li>Manage the credentialing and privileging process for physicians and allied health professionals, including initial appointments, reappointments, temporary privileges, and privilege modifications, using MD-Staff to maintain accurate and current provider records.</li><li>Review applications for completeness, obtain required documentation, and perform all primary source verifications, including licensure, education, training, board certification, DEA registration, references, malpractice history, NPDB queries, and sanctions/exclusion screenings.</li><li>Prepare and maintain credentialing files, reports, and committee-ready documentation in MD-Staff for review by Department Chairs, the Credentials Committee, Medical Executive Committee (MEC), and Governing Board, while tracking expiration dates and reappointment timelines to ensure continuous compliance.</li><li>Ensure adherence to Medical Staff Bylaws, hospital policies, CMS Conditions of Participation, The Joint Commission standards, and all applicable state and federal regulations.</li><li>Partner with Human Resources, Provider Enrollment, Risk Management, department leaders, and hospital leadership to support provider onboarding, reporting, committee materials, accreditation readiness, and high-quality service to providers and stakeholders.</li></ul>Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-08-01T00:00:00Z

Payroll Specialist

Torrance, CA
onsite
Temporary / Contract
28 - 33 USD / Hourly
We are looking for a Payroll Specialist to join a healthcare organization in Torrance, California on a Contract basis. This role supports payroll and people operations by managing compensation data, maintaining accurate employee records, and delivering dependable reporting for internal stakeholders. The position is ideal for someone who brings strong payroll experience, sharp analytical skills, and a high level of discretion when handling sensitive employee information. Responsibilities: • Administer payroll activities from data review through final validation to help ensure employees are paid correctly and on schedule. • Maintain employee information in ADP Workforce Now and related digital files, including updates to compensation, status changes, and personal records. • Investigate payroll variances, correct discrepancies, and coordinate with system support teams when technical issues affect payroll accuracy. • Develop and update Excel-based trackers and reports to monitor payroll activity, HR metrics, and audit-ready records. • Produce payroll summaries, data exports, and supporting documentation for leadership review and operational decision-making. • Review onboarding paperwork for completeness and accuracy so new employee records and pay details are properly established. • Respond to employee questions regarding pay, tax forms, deductions, and related HR matters in a clear and thorough manner. • Support offboarding activities by coordinating final pay processing and preparing required benefits-related documentation. • Assist with benefits administration by helping complete enrollments for new hires and qualifying life events within required timelines. • Protect confidential payroll and personnel information while escalating material errors or concerns to People Operations leadership as needed.
2026-08-11T00:00:00Z

Payroll Specialist

Westlake Village, CA
onsite
Temporary / Contract
28.5 - 33 USD / Hourly
We are looking for a detail-oriented Payroll Specialist to support accurate and timely payroll operations for a large employee population in Westlake Village, California. This Long-term Contract position is ideal for someone with hands-on experience managing full-cycle, multi-state payroll in a fast-paced environment. The role requires strong payroll administration skills, a high level of accuracy, and confidence working with Paychex systems. Responsibilities: • Process end-to-end payroll for a workforce of more than 500 employees while maintaining accuracy and meeting established deadlines. • Administer payroll activities across multiple states, ensuring compliance with applicable wage, tax, and reporting requirements. • Review payroll data for completeness and correctness, including earnings, deductions, time records, and employee updates. • Use Paychex to enter, validate, and finalize payroll transactions and related records. • Investigate and resolve payroll discrepancies by coordinating with employees, managers, and internal stakeholders as needed. • Maintain payroll documentation and support audits, reporting needs, and routine administrative payroll tasks. • Monitor payroll-related changes such as new hires, terminations, status updates, and compensation adjustments to ensure proper processing.
2026-08-11T00:00:00Z

Payroll Specialist

Glendale, CA
onsite
Temporary / Contract
38 - 45 USD / Hourly
We are looking for an experienced Payroll Specialist to support payroll operations. This Long-term Contract position is ideal for someone who is detail oriented and can manage payroll activities with accuracy, maintain compliance across complex pay practices, and work confidently within a legacy payroll environment. The role requires strong analytical skills, sound judgment, and the ability to keep payroll cycles moving efficiently while partnering with internal stakeholders. Responsibilities:• Execute end-to-end payroll processing for employees using a legacy human resources and payroll platform.• Examine payroll records, confirm data accuracy, and prepare finalized information for timely submission within established pay cycle deadlines.• Carry out payroll support activities such as data entry, audit reviews, reconciliations, and correction of pay-related issues.• Evaluate payroll results to verify compliance with institutional guidelines, labor agreements, and applicable wage and hour regulations.• Research discrepancies involving earnings, deductions, retirement contributions, or other payroll elements and coordinate resolutions with HR, finance, and relevant departments.• Maintain organized payroll files and supporting documentation to satisfy internal control standards and audit readiness expectations.• Produce and assist with reports related to compensation, withholdings, deductions, and retirement-related payroll activity.• Provide dependable operational coverage during critical payroll deadlines and high-volume processing periods.
2026-08-06T00:00:00Z